A smiling woman with red hair sitting on a white sofa in a modern kitchen with wooden cabinets, a window, and a built-in microwave.

You've spent so much of your life taking care of everyone else that somewhere along the way, you lost touch with yourself. Maybe you're carrying shame about your body, your sexuality, your relationships, or your needs. Maybe you keep repeating the same relationship patterns, struggle to communicate what you want, or feel disconnected from your partner, your body, or your sense of self. You don't just want coping skills, you want to understand why you feel this way, heal what has been keeping you stuck, and build a life that actually feels like yours.

Hi, I'm Madisyn (she/her), a Licensed Mental Health Counselor, AASECT Certified Sex Therapist, educator, and researcher offering therapy in Tacoma and virtually throughout Washington. I specialize in working with individuals, couples, and diverse relationship structures navigating trauma, sexuality, intimacy, shame, identity, body image, and communication. My work is warm, collaborative, sex-positive, trauma-informed, and anti-oppressive, creating a space where every part of who you are is welcome. Together, we'll explore the experiences that shaped you, reconnect with your values and desires, and create relationships, with yourself and others, that feel more authentic, connected, and fulfilling.

I believe you are not broken. I believe your story makes sense, and healing begins when you no longer have to carry it alone. Therapy with me is honest, relational, and deeply human. We'll laugh, challenge old beliefs, celebrate your growth, and make space for the conversations you've never been given permission to have. Whether you're healing from trauma, exploring your sexuality, navigating relationship challenges, or learning to trust yourself again, my goal is to help you build a life rooted in authenticity, pleasure, connection, and self-compassion.

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Now accepting clients in-person in Tacoma, WA and virtually anywhere in Washington.

206.590.3025

Sex Therapist in Tacoma, WA

LET'S START THE CONVERSATION

    • I am also a Washington State Approved Supervisor and currently serve as faculty at Antioch University and City University of Seattle, where I teach and mentor graduate counseling students. I presented at the ACA Conference in 2024 and have been accepted to present research at both AASECT and ACA in 2025. In addition to my clinical and academic work, I am also the founder of Hot Take, a business focused on making sexuality, intimacy, and relationship education more accessible, conversational, and community-centered.

    • Making Nice with Naughty: Using RODBT to Transform Over-controlled Sexuality with Thomas Murray

    • Using the Art and Science of Differentiation to Expand Your Work with Queer Male Clients with Tom Bruett

    • Addressing Sexual Dysfunctions in Cognitive Processing Therapy & Prolonged Exposure Therapy with Jordan Soper

    • Intersections of Sex & OCD with Shereen Morse Understanding Out of Control Sexual Behavior with Marc Gilmartin

    • Transcultural Counseling Certificate – International Association Counseling

    • Colonization and Sex with Anne Mauro

    • Islam and Sexuality with Bina Bakhitiar

    • Autism and Sexuality with Jack Duroc-Danner

    • Kink and BDSM with Sean Orpen

    • Fat Sexuality: A Health at Every Size Approach with Dr. Sheila Addison

  • My approach is collaborative, relational, and rooted in the belief that therapy should never feel like something that's done to you. I integrate Mindfulness-Based CBT, attachment work, parts work, somatic approaches, emotion-focused therapy, and the Developmental Model to help clients understand the connection between their experiences, relationships, nervous system, and sense of self. Together, we'll explore your story with compassion while building practical tools that foster self-trust, healthier relationships, and lasting change.

  • $200 for individuals, $250 for relational work, sliding scale and pay it forward options.

    I am an out of network provider for insurance companies. I can provide a superbill for our services.

WANT TO KNOW MORE ABOUT ME?

SPECIALIZED THERAPY FOR:

Relationships & Couples

Sex Therapy

Sexual Trauma Recovery

LGBTQIA+ Identity

Pain with Sex

Intimacy & Desire

Kink, BDSM & Alternative Relationships

Body Image & Self-Worth

Anxiety & Perfectionism

Women's Empowerment

MY SPECIALTIES

  • RELATIONSHIPS & COUPLES

    I help individuals and couples strengthen communication, navigate conflict, and create relationships rooted in honesty, intimacy, and mutual understanding. Together, we'll explore the patterns keeping you stuck while building deeper emotional and physical connection.

  • Close-up of two people engaging in intimate activity with a focus on their bodies and a sex toy.

    SEXUALITY & INTIMACY

    I provide a sex-positive, shame-free space to explore sexuality, desire, pleasure, intimacy, and sexual concerns. Together, we'll create a relationship with your sexuality that feels authentic, empowering, and aligned with who you are.

  • A woman standing barefoot on a stone pathway in a modern patio courtyard, with green grass, a small tree, and outdoor plants, surrounded by concrete and wooden walls, and a glass wall on the right, with sunlight and shadows.

    TRAUMA RECOVERY

    I help clients heal from sexual, relational, and religious trauma with compassion, curiosity, and respect for their lived experiences. Together, we'll process what happened while building greater safety, resilience, and connection to yourself.

  • Two men are smiling and hugging in front of a colorful mural on a city street. The mural shows various illustrations and text, with a large archway and city buildings in the background.

    LBGTQIA+ IDENTITY

    I offer affirming therapy for LGBTQIA+ individuals exploring identity, relationships, and sexuality. Together, we'll create space to embrace who you are, challenge shame, and build a life that reflects your authentic self.

  • Close-up of intertwined hands resting on a person's body, with tattoos visible on one arm, in a dimly lit setting.

    ALTERNATIVE RELATIONSHIPS

    I work with individuals and partners exploring ethical non-monogamy, polyamory, kink, BDSM, and other relationship structures. Together, we'll navigate communication, boundaries, intimacy, and relationship agreements that align with your values.

  • A woman sitting by a large window with a view of tall apartment buildings in an urban area, wearing a beige coat and touching her forehead with her hand.

    SELF-WORTH, SHAME, & EMBODIMENT

    I help clients untangle anxiety, perfectionism, shame, and self-doubt while reconnecting with themselves and their bodies. Together, we'll build self-trust, confidence, and a life that feels rooted in authenticity rather than fear.

  • Close-up of a person lifting a satin blue shirt, revealing part of their shoulder and arm.

    PAIN WITH SEX

    I support individuals experiencing pain with sex, vaginismus, desire concerns, and other sexual challenges with evidence-based, compassionate care. Together, we'll help you reconnect with your body and experience intimacy with greater comfort, confidence, and choice.

WHAT WORKING TOGETHER IS LIKE

Working with me feels warm, conversational, and deeply human. I believe healing happens through authentic relationships, so I bring humor, honesty, compassion, and curiosity into the therapy room while creating a space where you can show up exactly as you are. I'll help you uncover patterns, gently challenge the beliefs that no longer serve you, and support you in building a life that feels more aligned with your values, relationships, and sense of self.

Ready to Begin Therapy?


Finding the right therapist is an important first step. If you're ready to strengthen your relationships, improve intimacy, and gain greater self-understanding, I'd be honored to support your journey.

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Here to Answer Your Questions.

Finding the right therapist matters. If you'd like to learn more about my approach, specialties, or the therapy process, I'm happy to provide the information you need.